Forms

Patient Registration for Appointments

Please complete all 3 steps below

Step 1: Complete and submit online forms for preliminary registration for the appointment:

Step 2: Complete and return the printed registration forms with signature on consent forms:

Step 3: Please make the specialist copayment per your insurance company. All co-payments and any balance due amounts must be paid at the time of service

  • Pay using a credit/debit card online

  • Pay by check (enclose with the completed forms)

  • Call us at 781-729-2293 to pay using a credit/debit card


How to Submit Your Completed Forms:

Please return the consent forms on Step 2 at least 2 weeks prior to the appointment by any of the means listed below .

US Mail or Drop in:
Asthma & Allergy Specialists, PC
955 Main St, Ste 208
Winchester, MA 01890

FAX:
(781) 369-1493

We must receive these forms along with specialist copayment in order to complete your registration into our medical records system.

It can take up to two weeks to process these forms. If you have any questions or would like to expedite this process, please call us at (781) 729-2293.

Referrals

We participate with most major insurance companies and managed care plans (please see list of accepted insurances under Visit - Insurance info tab on this website. All HMO and managed care plans require a referral for services. It is your responsibility to obtain any necessary referrals and referral forms. Please contact your primary care physician for the appropriate referral and bring the referral with you on the day or your initial visit. Referrals should clearly state an office visit/consult, skin testing and spirometry to allow for an appropriate evaluation.


Statements

The latest patient statements are available at our Healow link: Portal